MRS. JENNIER JOHNSON, PRESIDENT

Assisted Living Facility

Active Individual
NPI: 1942586532

Practice Address

8783 2ND STREET SOUTH
Brookston, MN 55711

Phone: (218) 453-5062

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes 354457 (MN)
Custodial Care Facility 311Z00000X No FBL-26096-34148 (MN)
Custodial Care Facility - Adult Care Home 311ZA0620X No 354448 (MN)

Frequently Asked Questions

NPI 1942586532 is the National Provider Identifier for MRS. JENNIER JOHNSON, PRESIDENT, a Assisted Living Facility provider located in Brookston, MN. This NPI was enumerated on October 26, 2011.
MRS. JENNIER JOHNSON, PRESIDENT practices at 8783 2ND STREET SOUTH, Brookston, MN 55711.

Quick Facts

NPI
1942586532
Type
Individual
Enumerated
Oct 26, 2011
Last Updated
Oct 26, 2011

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